Master Blanket Purchase Order P514089

Header Information
Purchase Order Number: P514089 Release Number: 0 Short Description: Part 'D' Retiree Prescription Drug Program
Status: 3PS - Sent Purchaser: Will Glasmyer Receipt Method: Dollars
Fiscal Year: 2011 PO Type: Blanket Minor Status:
Organization: Baltimore City
Department: BOP - BUREAU OF PROCUREMENT Location: BOPCD - BOP Commodities Division Type Code:
Alternate ID: Entered Date: 07/21/2010 11:05:11 AM Control Code:
Days ARO: 0 Retainage %: 0.0% Discount %: 0.0%
Print Dest Detail: If Different
Catalog ID: Release Type: Standard Release Pcard Enabled: No
Contact Instructions: Will Glasmyer @410-396-5729 Tax Rate: Actual Cost: 0.0
PO Header Work Order Number:
Agency Attachments: BOE 0485 Agt Ratf Part D Prescription Drug Services 6-30-10.PDF
Agreement Part D Retiree Prescription Drug.PDF
BOE Ext Prescription Drug Services 10-3-12.PDF
BP-07150 Express Scripts Inc.pdf
BOE Rnwl Prescription Drug Program 9-25-13.PDF
BOE Amd 2nd Prescription Drugs Medicare Part D 3-26-14.PDF
Amendment 1st Prescription Drug Medicare Part D 12-5-12.PDF
Amendment 2nd Prescription Drug Medicare Part D 3-26-14.PDF
BOE Amd Prescription Drugs Medicare Part D 12-24-14.pdf
Amendment 3rd Prescription Drugs Medicare Part D 12-24-14.pdf
BOE Amd Prescription Drug Program Services 7-19-17.pdf
Amd 4th Part D Prescription Drug Program Services 7-19-17.pdf
Vendor Attachments:

Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 00000394 - Express Scripts, Inc.
Amy Conway
6625 W 78th St.
Bloomington, MN 55439
Phone: (952)837-7719
FAX: (952)837-7175
Payment Terms: Shipping Method:
Shipping Terms: Freight Terms:
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to at 07/21/2010 04:15:31 PM
Change Order 1 Emailed to at 10/09/2012 01:17:41 PM 10/24/2012 04:01:35 PM
Change Order 2 Emailed to at 09/27/2013 03:20:47 PM 09/30/2013 03:16:49 PM
Change Order 3 Emailed to at 09/09/2014 10:51:04 AM 09/09/2014 12:37:10 PM
Change Order 4 Emailed to at 01/06/2015 10:41:16 AM
Master Blanket/Contract Vendor Distributor List
Vendor ID Vendor Name Preferred Delivery Method Vendor Distributor Status
Express Scripts, Inc. Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 04/01/2010 Master Blanket/Contract End Date: 12/31/2017
Cooperative Purchasing Allowed: No
Organization Department Dollar Limit Dollars Spent to Date Minimum Order Amount
BALT - Baltimore City BOP - BUREAU OF PROCUREMENT 0.01 0.0 0.0
Item Information   
Print Sequence # 1.0, Item # 1:   Part 'D' Retiree Prescription Drug Program for the Baltimore City Human Resources Department as per the specifications, terms and conditions in Contract BP-07150 as awarded by the Board on 9/12/07 and amended with Agreement awarded by the Board on 6/30/10 and extended for the period thru 12/31/15. (New Agreement executed each year per federal requirements). 3PS - Sent
NIGP Code: 948-72
   Pharmaceutical Services
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Dollars 1.0 0.0 LOT - Lot 0.0 0.0 0.0 0.0
Manufacturer: Brand: Model:
Make: Packaging:
PO Item Work Order Number: